The tongue develops from the floor of the pharynx beginning in the 4th week of gestation. The anterior two-thirds develops from swellings in the first pharyngeal arch, while the posterior one-third develops from the second, third, and part of the fourth arches. The thyroid gland develops as an epithelial proliferation in the floor of the pharynx between the fifth and seventh weeks and descends to its final location in front of the trachea by the seventh week. The development of the tongue, thyroid gland, and associated structures can result in congenital anomalies if development is disrupted.